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See a sample rate comparisonCPT 62121 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery For Bulging Brain, Surgery To Close And Reshape The Skull In Order To Repair A Condition Where The Brain Bulges Through A Skull Opening That Did Not Close Completely Before Birth (Encephalocele).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 62 - Co-Surgeons GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62121 |
| Medicaid Fee Schedule | View Medicaid rates for 62121 |
National average reimbursement for CPT 62121 by major payers:
$1,913.77
$2,181.69
$2,233.11
$2,588.21
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CPT 62121
5 of 25 sample ratesHigher to lower in this preview
Memorial Ambulatory Surgery Center, LLC
Virtua-Memorial Hospital Burlington County Inc
$3,624.00Published rateCovenant High Plains Surgery Center, LLC, Covenant High Plains Surgery Center - 22nd Street
Covenant High Plains Surgery Center LLC
$1,579.00Published rateCapital City Surgery Center Of Florida LLC
$1,064.00Published rateAustell Surgery Center, LLC
Austell Surgery Center LLC
$616.00Published rateHouma Surgi-Center, Inc & Urology Clinic
Houma Surgi-Center & Urology Clinic (Amc)
$325.00Published rate
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See a sample payer proposalCPT 62121 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62121 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 62121 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 62000-CPT | High | Elevation Of Depressed Skull F, Elevation Of Depressed Skull Fracture Simple Extraduralelevation Of Depressed Skull Fracture Simple Extradural |
| 62010-CPT | High | Elevation Of Depressed Skull F, Elevation Of Depressed Skull Fracture With Repairof Duraandor Debridement Of Brain Elevation Of Depressed Skull Fracture With Repair Of Dura |
| 62100-CPT | High | Seal Spinal Fluid Leak, Surgery To Seal Off An Opening In The Membrane Covering The Brain. The Opening Has Allowed Cerebrospinal Fluid To Leak Into The Sinuses. |
| 62121-CPT | High | Surgery For Bulging Brain, Surgery To Close And Reshape The Skull In Order To Repair A Condition Where The Brain Bulges Through A Skull Opening That Did Not Close Completely Before Birth (Encephalocele). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62121 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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